AMENDED IN ASSEMBLY AUGUST 13, 2026
AMENDED IN SENATE MAY 14, 2026
AMENDED IN SENATE MARCH 23, 2026
CALIFORNIA LEGISLATURE— 2025–2026 REGULAR SESSION
96
Introduced by Senator Menjivar
(Coauthors: Senators Richardson and Weber Pierson)
February 5, 2026
An act to add Section 1569.493 to the Health and Safety Code, relating to residential care facilities for the elderly.
Vote: majority Appropriation: no Fiscal committee: yes Local program: no
LEGISLATIVE COUNSEL’S DIGEST
Existing law, the California Residential Care Facilities for the Elderly Act (act), requires the State Department of Social Services to license, inspect, and regulate residential care facilities for the elderly, as defined, and imposes criminal penalties on a person who violates the act or who willfully or repeatedly violates any rule or regulation adopted under the act. Existing law authorizes the department to also impose civil penalties for violations of the act. Existing law gives residents of those facilities specified rights, including, but not limited to, the right to be free from neglect, financial exploitation, involuntary seclusion, and verbal, mental, or physical abuse.
Beginning July 1, 2027, 2029, this bill would require the department, when it substantiates a violation of the act when a licensee is cited for a deficiency that constitutes abuse in violation of a resident’s rights, to categorize the type of abuse using the definitions from the Elder Abuse and Dependent Adult Civil Protection Act. The bill
abuse. The bill would describe the categories of abuse, including physical abuse and abandonment, among others and would require that the category of abuse be listed on a public-facing database maintained by the department.
The people of the State of California do enact as follows:
SECTION 1.
Section 1569.493 is added to the Health and Safety Code, to read:
1569.493.
(a) When the department substantiates a violation in a residential care facility for the elderly a licensee is cited for a deficiency that constitutes abuse under paragraph (10) of subdivision (a) of Section 1569.269, 1569.269 and related regulations, the department shall categorize and cite the violation
the citation according to the specific type of abuse established by the evidence.
(1) Physical abuse, as defined in Section 15610.63 of the Welfare and Institutions Code.
(2) Abandonment, as defined in Section 15610.05 of the Welfare and Institutions Code.
(3) Abduction, as defined in Section 15610.06 of the Welfare and Institutions Code.
(4) Financial abuse, as defined in Section 15610.30 of the Welfare and Institutions Code.
(5) Isolation, as defined in Section 15610.43 of the Welfare and Institutions Code.
(6) Mental suffering, as defined in Section 15610.53 of the Welfare and Institutions Code.
(7) Neglect, as defined in Section 15610.57 of the Welfare and Institutions Code.
(8) Undue influence, as defined in Section 15610.70 of the Welfare and Institutions Code.
(b) For the purposes of subdivision (a), the department shall categorize each citation into one of the following categories that is most applicable or relevant based on the facts and circumstances of the citation.
(1) Physical abuse includes, but is not limited to, assault, battery, assault with a deadly weapon or force likely to produce great bodily injury, unreasonable physical constraint, prolonged or continual deprivation of food or water, or the use of a physical or chemical restraint or psychotropic medication for punishment or any purposes not authorized by the physician and surgeon.
(2) Sexual abuse includes, but is not limited to, sexual battery, rape, rape in concert, incest, sodomy, oral copulation, sexual penetration, or lewd and lascivious acts.
(3) Abandonment includes, but is not limited to, the desertion or willful forsaking of an elder or a dependent adult by anyone having care or custody of that person under circumstances in which a reasonable person would continue to provide care and custody.
(4) Financial exploitation or abuse includes, but is not limited to, taking, secreting, appropriating, obtaining, or retaining real or personal property of an elder or dependent adult for a wrongful use or with intent to defraud, or both, including the use of undue influence in these acts.
(5) Involuntary seclusion or isolation includes, but is not limited to, acts intentionally committed for the purpose of preventing, and that do serve to prevent, an elder or dependent adult from receiving their mail or telephone calls, contact with prospective visitors, including friends, family, or concerned persons, false imprisonment, and physical restraint for the purpose of preventing the elder or dependent adult from meeting with others.
(6) Mental abuse or suffering includes, but is not limited to, fear, agitation, confusion, severe depression, or other forms of serious emotional distress that is brought about by forms of undue influence, punishment, verbal abuse, humiliation, intimidation, threats, harassment, or by deceptive acts performed, or by false or misleading statements made with malicious intent to agitate, confuse, frighten, or cause severe depression or serious emotional distress of the elder or dependent adult.
(7) Neglect includes, but is not limited to, the negligent failure of a person having the care or custody of an elder or a dependent adult to exercise that degree of care that a reasonable person in a like position would exercise, including the failure to assist in personal hygiene or in the provision of food, clothing, or shelter, the failure to provide medical care for physical and mental health needs, the failure to protect from health and safety hazards, and the failure to prevent malnutrition or dehydration.
(c) This section does not do any of the following:
(1) Limit the department’s authority to assess civil penalties under Section 1569.49 or any other law.
(2) Require the department to assess a civil penalty where none is otherwise authorized by law.
(3) Alter the elements required to substantiate abuse under existing law.
(d) The department shall ensure that citations categorized pursuant to this section are reflected in any public-facing transparency, licensing, or enforcement databases maintained by the department.
(e) The assignment of a specific abuse category is not subject to appeal. Licensees retain the right to appeal the underlying citation, finding of violation, or associated civil penalty. Any successful appeal that modifies or overturns the underlying determination will automatically be reflected in the assigned abuse category.
(f) This section shall become operative on July 1, 2027. 2029.